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Operations Inquiry/Request Form

WARNING! You are using an Official United States Government System, which may be used only for authorized purposes. Unauthorized modification of any information stored on this system may result in criminal prosecution. The Government may monitor and audit the usage of this system, and all persons are hereby notified that the use of this system constitutes consent to such and auditing.

Date of Request:
(Month/Day/Year)
Time of Request:
(ex: 10:10 a.m.)
Your E-Mail Address:
Agency Acronym / Agency Name:
(ex: BFM / Department of State)
Point(s) of Contact:
(Please include your Name, Phone number and email)
1. Business/Operations POC:
*Name:
Phone:
E-mail:
(if different from above)
2. Technical/Network Operations POC:
(if applicable)
Name:
Phone:
E-mail:
(if different from above)
Brief Description of the Problem or Request:
File Name:
(ex: FDMP.IPDMS.xxx.C2017xx.AGxx)
(ex: FDMP.TOPUPD.CorD2017xx.AGxx)

Transfer Method:

Please note: If you experience any problems when attempting to submit this form, you may print a copy of the completed form and fax it to 205-912-6522.

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